NPI 1215061429 · live from the CMS NPI Registry
Beach Anesthesia, LLC
Anesthesiology in Myrtle Beach, SC. National Provider Identifier 1215061429, active.
NPI record
| NPI | 1215061429 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 1021 Medical Circle, Suite 100, Myrtle Beach, SC 29572 |
| Practice phone | 843-692-1062 |
| Mailing address | Po Box 7276, Columbia, SC 29202 |
| Enumerated | March 16, 2007 |
| Last updated | October 4, 2007 |
| Authorized official | Joseph Maggioncalda, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.